Dubois, Bradley M

Dubois, Bradley M is an individual health care provider with primary practice located at 1473 E State Road 44 , Connersville IN 47331-8374. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Dubois, Bradley M can be contacted via phone (765) 825-0511.

Contact Information

Primary practice address
1473 E State Road 44 Connersville IN 47331-8374
Fax: (765) 827-1247
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01045453A Indiana

Profile Details

NPI number 1568421683
LBN Legal business name Dubois, Bradley M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 18th, 2006
Last updated May 13th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568421683 NPPES
Indiana MEDICAID 200184980
Indiana Other ANTHEM

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